Treatment Episode Data Set (TEDS)

Forms and Documents

Document Name	Status
Form TEDS_MH and MH-CLD MH-CLD BCI Data Form and Instruction	New
Form TEDS_MH and MH-CLD TEDS Admission Data Form and Instruction	Modified
Attachment A2 Table of TEDS Reporting Practices by State 07.15.15.pdf Supplementary Document	2015-11-24
TEDS Supporting Statement 11.24.15.docx Supporting Statement A	2015-11-24
Attachment A8 TEDS OMB comment response final.docx Supplementary Document	2015-11-23
Attachment A7_2014 Mental Health Data Collection Results June 2015.docx Supplementary Document	2015-11-23
Attachment A6_Webinar_Deduplicating Client Counts April 2015.docx Supplementary Document	2015-11-23
Attachment A5 Webinar_Launching of the Behavioral Health Treatment Data System Effort.docx Supplementary Document	2015-11-23

IC Document Collections

IC ID	Document Title	Status
219075	MH-TEDS Update/Discharge Data Other-null	New
219074	MH-TEDS Admissions Data Other-null	New
219073	MH-CLD SHR Data Other-null	New
219072	MH-CLD BCI Data Form and Instruction	New
219071	TEDS Discharge Data Other-null	New
204349	TEDS and MH-TEDS Crosswalks Instruction	Modified
204348	TEDS Admission Data Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0335	ICR Reference No: 201511-0930-002
Status: Historical Active	Previous ICR Reference No: 201210-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Treatment Episode Data Set (TEDS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/01/2016
	Date Received in OIRA: 11/27/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	02/29/2016
Responses	723	0	421
Time Burden (Hours)	5,898	0	3,066
Cost Burden (Dollars)	0	0	0

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Abstract: TEDS includes admissions to all drug abuse and alcoholism treatment facilities in the United States, the District of Columbia, and Puerto Rico that receive public funds through the State substance abuse agencies or are monitored for administrative purposes through those agencies. Because TEDS is a compilation of data from the State administrative systems, the scope of facilities included in TEDS is affected by differences in State licensure and accreditation practices and disbursement of public funds.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48116	08/11/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 72440	11/19/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
MH-TEDS Admissions Data
MH-TEDS Update/Discharge Data
TEDS Admission Data	TEDS_MH and MH-CLD Data Elements	TEDS_MH and MH-CLD Data Elements
TEDS and MH-TEDS Crosswalks
TEDS Discharge Data
MH-CLD BCI Data	TEDS_MH and MH-CLD Data Elements	TEDS_MH and MH-CLD Data Elements
MH-CLD SHR Data

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	723	421	0	510	-208	0
Annual Time Burden (Hours)	5,898	3,066	0	4,548	-1,716	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Currently there are 3,066 total burden hours for TEDS. SAMHSA is requesting 5,898 total burden hours. There are no changes in burden for the substance abuse TEDS portion of the collection (3,066 hours). The increase of 2,832 hours is due to a program change of the following: 1) transferring 1,050 hours from the MH- CLD portion of the collection from the block grant application procedures (OMB No. 0930-0168), and 2) the addition of MH-TEDS resulting from an increase in the number of states reporting to MH-TEDS above the pilot phase with a burden of 1,782 hours.

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Annual Cost to Federal Government: $14,900,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/27/2015

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